The URL can be used to link to this page

Home My Public Portal About53 LINDEN LN _BUILDING_2019-2-21_TEMPLE CITY PERMIT NO. B19-37527 City of Temple City 19701 Las Tunas Drive I Temple City, California 91780 1 (626)285-2171 1 www.templecity.us Address: 53 Linden Ln, Temple City, California 91780 Parcel: 8592-005-043 Permit No: B19-37527 Type: Building Subtype: CB Combo Building Description: ROOF MOUNTED SOLAR 14 MODULES, IINVERTER Special 4.13KW SYSTEM SIZE Conditions: Issue Date: 02-21-2019 Expire Date: 02-21-2020 Extension: Extension: Permit expires on date shown if: l) work does not commence, or 2) work is suspended or abandoned, or 3) applicant fails to obtain code required inspection. - Contacts Owner Wan -Min 53 Linden Ln, Temple City, California 91780 (626) 643-8213 Wong Applicant Chris WoH 21616 Golden Triangle Road, Santa Clarita, California (661)414-7001 91350 Contractor Petersen -Dean Inc. DBA 21616 Golden Triangle Rd, Santa Clarks, California (661) 414-7000 Petersendean 91350 Combo Rooftop Solar Details System Oty 1 Ansa 252 Stories 2 - Fees Total Valuatkm $8250.00 Plan Check Fees $268.56 Permit Fees $205.66 Strong Motion Fee $0.00 SB1473Fee $1.00 Pad¢Dev Fee $0.00 Sawa r Const Fee $0.D0 - Building Inspections Approval Data Inspector Approral Location/Setbacks Roof Sheathing Soils Engineer Fire Dept Framing Foundation Forms Bldg Dept Framing Slab/Under Floor Shear Panels Raised Floor Sprinkler Hangars Framing Insulation/Weather Underfloor Strip Insulation Interior 1st Floor Lath/Drywall Sheathing Exterior lath 2nd Floor Sheathing Date Inspector 468117 Approval Date Inspector Rated Floor/Ceiling Rated Walls Rated Shafts T -Bar Ceilings Lot Drainage Smoke Detectors Fire Dept Approval FINAL N W r 16WNER•BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have pieced next to the applicable item(s).(Section 7031.5, Business and Professions Code): Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for the permit to file s signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do (J) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the Owner. Builder will have the burden of proving that it was not built or Improved for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section' 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). U: I am exeQt from Ilcensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence In whicf1 I must have resided for at least one year pronto compleilo of the Improvements covered by this pertntt, I cdnnot legally 211 a structure that I have built as an If owner -builder it has not been constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of 1he Business and Professions Code, is available upon request when this application is submitted or at the following Web site: httoJ/www.lecinfo.ca cov/calaw html Date: Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the : Business and Professions Code, and my license is In full force and affect l/ cense Class CAID LicenseNo. ted 11 1 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self - Insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3760 of the Labor Code, for the performance of the work for which this permit Is issued. 1poligy No. 1 I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My w ers' salt n urener and poll m er are: Y r-A4Cg Ca r Pol-Mcy Number Expe Name of Agent Phone Number I certify that, In the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomla, and eg that ff I should become subject to the workers' comp tion vlsi of Section 3700 of the Labor: Code, I she cal those provisions of AppII nt D LOBBYIST'ORDINANCE CERTIFICATION Complete this section for permits In Unincorporated Los Angeles County only This Is to certify that I, as permit applicant, am familiar with the requirements of Los Angeles County Code Chapter 2.160 at seq., (relating to the Los Angeles County Lobbyist Ordin ) and that all persons acting on behalf of myself compl' - I continue to comply therelwiith through the appllcatl ce C6riS 1Agt1 Applipantnttk(Print tNName) Applicant Signallboisu Company Name Date JOB ADDRESS LOCALITY HAZARDOUS MATERIAL DECLARATION Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material equal to or :greater than the amount specified on the hazardous materials Information guide? —/ Yes ❑ N o JGf Will the Intended use of the building by the applicant or future .building occupant require a ' permit for construction or modification from the South Coast Air Quality Management District (SCAQMD)? See permitting thea for guidelines. Yes ❑ No j I have read the hazardous materials Information guide and the SCAQMD permitting checklist, I understand my requirem nts under the Los Angeles County Code Title 2, Chapter 2120' Sections 220.100 through 220.140 concerning hazardous material reporting and for obtaining a permit from the SCAQMD. ASBESTOS NOTIFICATION EIN alfication letter sent to AQMD and/or EPA I declare that notification of asbestos removal Is not applicable to addressed project. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which this permit Is Issued (Section 3097, CNII Code). Lender's Name Lender's Address By my signature below, I cerFrfy toleach of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize repres tatives of this county to enter the above-identit roper"r insp§Aon purposes. ate Agent